Individual
BOBBIE JO LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4467 AICHOLTZ RD, CINCINNATI, OH 45245-1061
(513) 293-0559
Mailing address
4467 AICHOLTZ RD, CINCINNATI, OH 45245-1061
(513) 293-0559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-148005-M-I'VE
OH
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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